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University and Academia Relations Committee
Dr. Eugene M. Seidner 2011 Student Scholarship Program
Honoring the memory, achievements and commitment of
Dr. Eugene M. Seidner, our distinguished President 1996-1997
P.O Box 8667, Coral Springs, Florida 33075 Telephone 954-346-3776 Fax 954-757-2598 www.laserdentistry.org email [email protected]
©2010The Academy of Laser DentistryJuly 2010 Scholarship 2011 Application v 1
Dr. Eugene M. Seidner Student Scholarship
The Academy was officially incorporated in 1993, following the merger of the American Academy of Laser Dentistry, the International Academy of Laser Dentistry and the North American Academy of Laser Dentistry. One of the largest international organizations devoted to laser dentistry, the Academy includes among its members renowned clinicians, academicians and researchers in all laser wavelengths.
The Academy is devoted to clinical education, research and the development of standards and guidelines for the safe and effective use of laser technology worldwide.
The Academy of Laser Dentistry is an international professional membership association of dental practitioners and supporting organizations dedicated to improving the health and well being of patients through the proper use of laser technology.
The Academy actively supports education and research through its certification programs, publications, meetings and additional activities.
The Academy fosters dialogue and seeks to build community among its members and dental organizations, educational institutions, researchers, industry representatives and others who share this mission.
P.O Box 8667, Coral Springs, Florida 33075 Telephone 954-346-3776 Fax 954-757-2598 www.laserdentistry.org email [email protected]
©2010The Academy of Laser DentistryJuly 2010 Scholarship 2011 Application v 1
Dr. Eugene M. Seidner Student Scholarship
Program Objectives
The program
Promotes the advancement of dental laser technology education through the establishment of the Dr. Eugene M. Seidner Scholarship.
Encourages undergraduate and graduate students in the different dental disciplines to deepen their understanding of the use of lasers in dentistry.
Provides financial assistance enabling students and professionals to present their work at the Academy’s annual meetings and by doing so allows participation in the educational lectures and workshops aimed to advance the study of lasers and their correct and safe use in dentistry.
Special Award for Pediatric Dentistry. Through a generous annual pledge specifically earmarked for pediatric dental students, ALD is pleased to implement beginning in 2010 a special recognition award within the Dr. Eugene Seidner Student Scholarship program for pediatric dental students. This donation recognizes the commitment to pediatric dental education by ALD member Dr. Lawrence Kotlow, a pediatric dentist practicing in Albany, N.Y.
Who is eligible?
1. Applicants must be either undergraduate or graduate dental students in general or specialty programs.
2. Applicants are eligible through their first year after graduation or an accredited dental program.
3. Applicants shall be nominated by dental university faculty or ALD members.
Application Process
Applications must be sent electronically to [email protected]. Applicants must submit:
1. A completed application, which can be found on the last page of this file. When saving the file, please include your name as part of the file name. Ex: JSmith.doc
2. A Letter of Reference - Ask your mentor to provide a letter of recommendation. A reference letter form is provided. This must be sent electronically and can be followed with a hard copy separately, but must be received by October 1. It should be sent electronically by email to [email protected].
3. An Abstract Submission - Abstracts must be submitted by following the guidelines specified in ALD’s “Call for Abstracts” which can be found on the ALD website at http://www.laserdentistry.org/abstracts/index.cfm
Abstract Submission Deadline
Abstracts must be submitted by October 1. Early submission is highly encouraged. It is ok if your scientific research is still ongoing. Abstracts may be updated by January 15.
P.O Box 8667, Coral Springs, Florida 33075 Telephone 954-346-3776 Fax 954-757-2598 www.laserdentistry.org email [email protected]
©2010The Academy of Laser DentistryJuly 2010 Scholarship 2011 Application v 1
Applicant’s Obligations
Applicants must present original research or case study(s) presented as an oral presentation, table clinic or poster presentation. Participation in Standard Proficiency certification, most sessions of the annual conference and the Saturday Presidents Dinner and Awards Ceremony is expected. Selected students are required to submit their abstract for publication in the Journal of Laser Dentistry within 30 days after the annual conference..
Selected students are required to submit their abstract for publication in the Journal of Laser Dentistry
The recipient/s are required to submit a manuscript to the Academy's Journal of Laser Dentistry so that we may provide the readers with a similar experience to those that attend the presentation at the annual conference. The submission requirements are two types of electronic files: a Microsoft Word document of approximately 1000 words including these elements: introduction, materials and methods, results, conclusions, and discussion, plus any number of high resolution (300 dpi minimum) separate JPG images or similar image files that support the research. The article based on the awarded research for the Journal of Laser Dentistry must be submitted by no later than one month after the Conference ends and it must include a short biography and disclosure statement. The article is submitted to the Journal of Laser Dentistry editor, Dr. Don Coluzzi at [email protected].
Awards
1. The scholarship covers one year of ALD membership, ALD conference registration fees, Standard Proficiency Dental Laser Certification Course application fees, round trip coach air transportation for the applicant, and up to 5-night hotel accommodations.
2. Upon successful presentation during the Academy of Laser Dentistry annual conference, an award in the form of a certificate for participation will be presented to each scholarship recipient.
3. Accomplishments will be shared throughout the dental community in dental journals, university publications and various student and professional associations.
4. A cash award for first ($500), second ($250) and third ($100) place may be presented.
Notification
Notification of scholarship awards will occur between November 15 and January 15 via e-mail.
Additional InformationAdditional information may be found online http://laserdentistry.org/ald2011SanDiego/scholarship.cfm
Electronic Application follows on the next page.
P.O Box 8667, Coral Springs, Florida 33075 Telephone 954-346-3776 Fax 954-757-2598 www.laserdentistry.org email [email protected]
©2010The Academy of Laser DentistryJuly 2010 Scholarship 2011 Application v 1
Dr. Eugene M. Seidner Student Scholarship ProgramApplication
1. Title of your presentation (research or clinical study)
2. Applicant Information: Dentist Dental Student
Name and Title
Program of Study Undergrad Graduate Clinical resident Other, please specify
Name of
Institution
Mailing AddressStreet:
City: State: Country: Zip Code:
E-Mail Address Year of Graduation
Phone No. Fax No.
3. Mentor Information
Name and Title
Mailing AddressStreet:
City: State: Country: Zip Code:
E-Mail Address
Phone No. Fax No.
Submit this application to [email protected] as an email attachment using your name as the file name. Use your name + ALD Student Ap in the subject line.
Submit your abstract by following the instructions on the ALD website at: http://www.laserdentistry.org/abstracts/index.cfm
Have your mentor submit a letter of recommendation using the Reference Letter form. The file name should contain your name. The letter of recommendation should be sent to [email protected]
If you have any questions or need assistance contact the Academy of Laser Dentistry by email to [email protected] or by phone 954-346-3776.
P.O Box 8667, Coral Springs, Florida 33075 Telephone 954-346-3776 Fax 954-757-2598 www.laserdentistry.org email [email protected]
©2010The Academy of Laser DentistryJuly 2010 Scholarship 2011 Application v 1
